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_ -- �...�.....� . _ - -- __ -- � / <br /> �, � I'j � . .. / <br /> D9tB�1 -' wmmw,m.r.�n. _ <br /> Applicatlon For ei�.o.�.. 91/2705 <br /> PU�LIC WORKS PERMIT �°�kWe�.F� — <br /> « <br /> ra�i rw • <br /> ��' Leu�ppL FM MIE f <br /> Print orType Only� ;T' �; k; � l TO POSTING - ���' a,�.�co�. •� <br /> t^� V] p- OJ <br /> [ I ,n �.i .�l lT <br /> ('1 � �o <br /> 8 6 K PartnerAhi�; 1608 Dogwood Everett 98203 258-2633 <br /> Owner S^�� ��' '�' ��� MelNng Address Ciry 2ip F none <br /> b] CJ t � rf; � <br /> �O C] � G 1: f] <br /> r.i o ti.. .. �.� i�.i <br /> r� r,. _a � _�: <br /> OWifer r» xr. r� r�_ o_ r, <br /> Applicant Me�linp Addrese City Zip p�one <br />� Deacribe Proposed Work �nstrucc new 9-unit con3omini� <br />� <br /> �93� W <br />. ; �. Prolect Address pf known) �� � <br />� � � Attach four(4)cop�ee af plans for propoaed work- Draw to scale and note the tollowing ae appliceble: � <br /> � � • Property Lines • CeMerline of atreet � <br /> � • Outline end dlmeneione of ell exietinp and • Indicate North <br /> propoaed atructuree on the lot • Show any propoaed greding chenpes <br /> • Exieting end propoaed utllitiea • Show meanurementa � <br /> UO NOT WRITE BEL W MI LINE O <br /> PERMIT CONDITIONS <br /> 1.All Glb for Inepection ehall be mede 24 hra In edvance-phone Z69$810. � <br /> 2.All work�hall be psAormed in accordance with this permit end currant City of Everett Deaipn and Constructlon <br /> St�nd�rds end Specificatlons. <br /> 3.GII Locatlon Underyround 3ervics 4B hra before you dlg.TOLL PREE NUMBER 1�800�424bb56. � <br /> �� �o��s' �q,�� � -//�9/ �, <br /> � � �� Q <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS �I <br /> The undersigned owner/applicant hereby eprees to hold and save harm• <br /> less the City of Everett from any and all cleims for demegea. costa <br /> . ezpenses, or causea ol action that may ariae because of Instellation <br /> v and maintenance of the improvement or other rigM•ohwey uee hereto <br /> applied for end further ag�ees to remove aeme upon notice from the <br /> I App v C for Con tr io Dete City and to replace public property demeged thereby. <br /> �--- ,1-.��s .��. • � , ;� �dr�9aZ <br /> FINAL INSPECTION Date <br /> Approved as Constructed SignAture of Applicant Dete <br /> � PUBLICWORKSDEPARTMENT WORK AUiHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CederStroet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIt MAY BE <br /> Phone:269•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />